| Code | Description | Claims | Beneficiaries | Total Paid |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
88 |
72 |
$105K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,310 |
819 |
$52K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
449 |
325 |
$18K |
| 59510 |
|
17 |
12 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
97 |
64 |
$5K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
19 |
18 |
$1K |
| 0502F |
|
874 |
587 |
$50.00 |